Active NPI
Steve Randle
- Optometrist
- Amory, MS
National Provider Identifier
1114958758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 640715180
- Practice address
- 307 South Main St
Amory, MS 38821 - Phone
- (662) 256-8481
- Fax
- (662) 256-5276
- NPI assigned
- Jul 5, 2006
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 640715180 | MS | Primary |
| Optometrist | 152W00000X | MS |
Addresses
Primary practice location
307 South Main St
Amory, MS 38821
Mailing address
307 South Main St
Amory, MS 38821
Phone (662) 256-8481
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410002688 | Other | MS | RAILROAD MEDICARE |
| 00087048 | Medicaid | MS | |
| 477949 | Other | MS | ADVANTRA FREEDOM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080716000518 | MS | Practitioner - Optometry | 9032282520 | Practice locations: Amory, MS |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
307 Main S St
Amory, MS 38821-4219
Phone (662) 256-8481
307 Main St S
Amory, MS 38821-4219
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.67 of 100
- Quality
- 43.33
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 57 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Eyewear Supplier
- Amory, MS
- NPI 1588833412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114958758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 SOUTH MAIN ST",
"city": "AMORY",
"state": "MS",
"postal_code": "38821",
"telephone_number": "662-256-8481",
"fax_number": "662-256-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 SOUTH MAIN ST",
"city": "AMORY",
"state": "MS",
"postal_code": "38821",
"telephone_number": "662-256-8481",
"fax_number": "662-256-5276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDLE",
"first_name": "STEVE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "640715180",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410002688",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00087048",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANTRA FREEDOM",
"identifier": "477949",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amory, MS
- Priority Care Pharmacy Services, LLC. (Priority Care Pharmacy Services)
- Priority Care Pharmacy Solutions, LLC (Priority Care Pharmacy Solutions)
- Priority Care Pharmacy, LLC
- Priority Care PLLC (Priority Family & Urgent Care)
- Holly Purser, NP
- Zachary James Randolph, DPT
- Stephanie Brooke Reeves, FNP
- Relias Emergency Medicine Specialists of Amory, LLC
- Relias Hospitalist Medicine Specialists of Amory LLC
- Respiratory and Diabetes Care Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.